SEC Form 4 · accession 0001209191-15-070168
Polaris Inc. · PII
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Michael D. Dougherty
Officer — President-International
Period of report
Sep 8, 2015
Accepted (ET)
Sep 10, 2015 · 5:23 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000931015
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | Sep 8, 2015 | A | 5,000 | $0.00 | A | 8,704 | D | |
| Common StockF1 | holding | — | — | — | 30,674 | I | by spouse's trust | |
| Common StockF2 | holding | — | — | — | 1,804 | I | by wife as UTMA custodian for son | |
| Common StockF3 | holding | — | — | — | 1,825 | I | by wife as UTMA custodian for daughter | |
| Common StockF4 | holding | — | — | — | 4,643 | I | by ESOP |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Shares held in a revocable trust of which the reporting person and his spouse are trustees, and the reporting person and his spouse, or other members of their family, are the beneficiaries.
- F2Shares held by son who shares reporting person's household. The reporting person disclaims beneficial ownership of the shares held by his son, and this report should not be deemed an admission that the reporting person is the beneficial owner of his son's shares for purposes of Section 16 or for any other purpose.
- F3Shares held by daughter who shares reporting person's household. The reporting person disclaims beneficial ownership of the shares held by his daughter, and this report should not be deemed an admission that the reporting person is the beneficial owner of his daughter's shares for purposes of Section 16 or for any other purpose.
- F4Estimate of the number of shares held in the reporting person's ESOP fund as of September 8, 2015. This plan uses unit accounting and the number of shares that a participant is deemed to hold varies with the price of Polaris stock.